MEDICARE: MAKI KURATA LIC.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AK000658	PA

General Provider Information

NPI Number	:	1326227067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKI KURATA LIC.AC.

Provider Business Mailing Address
First Line	:	2825 WELLINGTON RD
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16506-2437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 PITTSBURGH AVE
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16508-1902
Country	:	US
Telephone Number	:	814-602-8309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	10/10/2014

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Directions to “ MAKI KURATA LIC.AC.” Practice Location

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